摘要
目的探讨纤维支气管镜术在诊治小儿肺炎支原体肺炎合并肺不张中的应用效果。方法对2016年7月～2018年6月间本科室收治的100例肺炎支原体肺炎合并肺不张患儿资料和纤维支气管镜术诊治情况作一回顾分析。结果支气管肺泡灌洗液MP-DNA检测阳性率93%(93/100),血清MP-Ab-IgM阳性率69%(69/100),两者差异存在统计学意义(P<0.01)。纤维支气管镜下均观察到黏膜充血和水肿,32例支气管开口处有痰栓堵塞,22例存在腔内炎性狭窄,8例黏膜有溃疡病变,3例小结节形成。在支气管肺泡灌洗后4周复查,仅3例未复张,部分和完全复率为97%。结论对于小儿肺炎支原体感染合并肺不张病例,支气管肺泡灌洗液MP-DNA检测优于血清学MP-Ab-IgM诊断。纤维支气管镜术治疗肺炎支原体肺炎合并肺不张能明显缩短病程,促进肺复张。
Objective To explore the application effect of fiberoptic bronchoscopy in the diagnosis and treatment of mycoplasma pneumonia andatelectasis in children. Methods The clinical data of 100 cases of Mycoplasma pneumoniae pneumonia combined with atelectasis treated in our departmentfrom July 2016 to June 2018 were analyzed retrospectively. Results The positive rate of MP-DNA in bronchoalveolar lavage fluid （MPDNA）was 93% （93/100）, and the positive rate of serum MP-Ab-IgM was 69% （69/100）, and there was a statistical difference between them （P〈0.01）. Mucous congestion and edema in the lesion site were observed under fiberoptic bronchoscopy, 32 cases （32%） were blocked by phlegm plugsat the opening of the bronchus, 22 cases （22%）, 8 cases （8%） and 3 cases of small nodular change （3%）. After 4 weeks of bronchoalveolar lavage, only3 cases failed to recover, and the rate of partial and complete recruitment was 97%. Conclusion The diagnostic effect of MP-DNA in bronchoalveolarlavage fluid for Mycoplasma pneumoniae pneumonia in children is better than that of serum MP-Ab-IgM. For the treatment of Mycoplasmapneumoniae pneumonia with atelectasis and early fiberoptic bronchoscopy, the course of the disease can be shortened and the pulmonary extensioncan be promoted.
作者
孟娟
王薇
Meng Juan;WangWei(Department of Pediatrics,Maternal and Child Health Hospital of HuBei Province,Hubei,Wuhan,430000,China)
出处
《当代医学》
2018年第31期3-5,共3页
Contemporary Medicine
关键词
纤维支气管镜术
小儿肺炎支原体肺炎
肺不张
诊治
Fiberopticbronchoscopy
Mycoplasma pneumonia in children
Atelectasis
Diagnosis and treatment
